| NPI | 1699513598 |
|---|---|
| Doing Business As | MAGNOLIA MED SPA AND IV THERAPY |
| Entity Type | Organization |
| Authorized Contact | BRITTANY LEE BALLARD Owner 580-615-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |